Managed Care Case Manager

Required work experience: 2-4 years

Location: 100% Remote - Open to All Applicants in Mexico.

Who Are We?

Touch Support, a multinational Business Process Optimization company, is rapidly expanding its finance and support teams. We are seeking a motivated, detail-oriented individual in Mexico to join our team as a Managed Care Case Manager. With over 350 employees across the US and Europe and a proven track record of successful remote onboarding, we are excited to offer this long-term opportunity to talented professionals like you.

What We’re Looking For

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2–4 years of experience as an RN, LPN, USRN, or Healthcare Virtual Assistantwith clinical nursing education.

• Knowledge of US healthcare insurance, Medicare Advantage, Medicaid MCOs, commercial payors, and criteria such as InterQual/MCG is a plus.

• Experience with PointClickCare, MatrixCare, Availity, NaviHealth, or similar systems.

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Strong English communication, organization, attention to detail, and time-management skills.

• Ability to manage high-volume authorization workflows independently.

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Shift & Schedule - full-time (US business hours align - 7 AM - 3 PM CDT), including dedicated Weekend Coverage.

What You’ll Do

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Manage pre-admission and prior authorizations with MCOs, Medicare Advantage, and commercial insurers.

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Conduct concurrent reviews and clinical chart audits to support continued stays.

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Track authorizations, length of stay, and expiration dates to prevent coverage gaps and lost revenue.

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Communicate with insurance case managers, medical directors, and facility clinical teams.

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Support Peer-to-Peer reviews and appeals when coverage is denied.

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Coordinate with intake, nursing, social work, and billing teams.

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Maintain accurate authorization records in the EHR.

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Provide weekend/high-volume coverage and ensure smooth team handoffs.

What We Offer:

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Starting salary: $665 – $800 USD Gross monthly

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Comprehensive Training: We provide extensive initial training and ongoing mentorship to set you up for success.

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A Clear Career Ladder: This role is just the beginning. We offer a clear promotional path with competitive salary increases as you grow with us.

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A Supportive Global Team: Even though we work from home, our team is tightly connected. You will have a dedicated Team Lead and supervisor

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A Dynamic Work Environment: You will be in constant communication with native English speakers, helping you to further enhance your language skills in a professional setting.

Please submit your application and resume in English. Applications submitted in any other language will not be considered.Originally posted on Himalayas